Get Dda Autistic Disorder Confirmation Dshs 13 905

This guide will assist you in accurately completing the Dda Autistic Disorder Confirmation Dshs 13 905 form. It provides clear, step-by-step instructions tailored to ensure a smooth online submission process.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the applicant's name and date of birth in the provided fields. Ensure accuracy as this information is vital for eligibility determination.
3. Enter the clinician's name and the date of the report. According to WAC 388-823-0500, the diagnostician must be qualified, such as a neurologist or licensed psychologist.
4. Detail specific, current examples of qualitative impairments in social interactions. Ensure that you are listing two or more examples that accurately reflect the applicant's experience.
5. Provide one or more examples of qualitative impairments in communication. This section should also include current and specific scenarios.
6. List one or more specific examples related to restricted, repetitive, and stereotypical patterns of behavior, interests, and activities.
7. Indicate any delays or abnormal functioning evident prior to age three in the specified areas. Be as detailed as possible.
8. Ensure the clinician signs and dates the form in the designated area to authenticate the report.
9. Complete the contact information section for the worker, including mailing address, phone number, and email, to facilitate the submission process.
10. Finally, review the completed form for accuracy, and then save your changes. You can choose to download, print, or share the form as needed for submission.

Take the next step in the process and complete your documents online.